Independent of accounting or billing, claims processing is the part of the revenue cycle where claims for reimbursement sent from a provider to a payer are taken in, verified, and paid (or denied). As the healthcare system continues its transition from a paper-based to a digital system, electronic claims processing has become a much larger component of the industry. Further efficiencies are promised as more and more health data become cloud-based, enabling providers and payers to access the same data instantaneously.

Physicians and other healthcare professionals will have to employ much more accurate and specific documentation of their care if ICD-10 coding is to work right, speakers asserted in an education session at the AHIMA Convention and Exhibit.

The problems plaguing the insurance exchange site can be blamed on poor coding and political pressures, according to three technology experts interviewed by Healthcare IT News. While all three identified inadequate pre-launch testing as a big source of its technical woes, they disagreed on whether the Obama administration's call for outside help is the right way forward.

Flanked by a number of Americans who have successfully enrolled for coverage on Healthcare.gov, President Barack Obama vigorously defended the benefits of the Affordable Care Act on Monday, even as the rollout of the federal insurance marketplace website has been riddled with errors that could take weeks to fix.

Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.

In the revenue cycle management market, hospitals show high adoption of technology focused on eligibility and scheduling, with much work left to be done around charity screening and propensity to pay, according to a new report from HIMSS Analytics.

Who would have thought that something so simple as copy and paste could have such serious consequences? Diana Warner, director at AHIMA, confirmed the seriousness of inappropriately using copy and paste functions in electronic health records. And the government agrees -- it's no laughing matter.

Continua Health Alliance officials on Wednesday praised the Texas Health and Human Service Commission for the approval of rules allowing Texas Medicaid to begin reimbursing for telemonitoring services and setup, effective October 1.

A new poll by the American College of Physician Executives was prompted by a federal court judge's decision to overturn a longstanding injunction that prevented CMS from releasing information about payments to individual physicians.

View a quick summary of the results of a healthcare mobility survey about top priorities, investments and mobility strategies being implemented by healthcare providers. See how organizations are implementing changes to address:
Cost reductions, while improving access to care.
Reform mandates and financial penalties.
Aging populations and chronic diseases Learn More

In recent years, there has been a great deal of discussion about how to engage patients in their care. Patient engagement has always been considered a good thing in practices and health care organizations. Today it is vital to the business of delivering care. Learn More

The 2014 State of Value-Based Reimbursement is a national opinion research study of 464 payers and providers, conducted by ORC International, and commissioned by McKesson Health Solutions. The study clearly documents a transition from a volume-based model of reimbursement to models based on measures of value. Both payers and providers project that value-based reimbursement will overtake fee for service by the year 2020. But the study also reveals significant challenges, particularly in technology and physician buy-in, to fully implementing these models. Learn More

Where and how they store their data is of particular interest to healthcare organizations these days — especially given the tremendous growth and interest in Big Data and data analytics. View this infographic for a look into how healthcare is growing in the cloud. Learn More

When Adventist Health wanted a mobility solution to keep their workforce connected and productive while on the go, they turned to the experts at PC Connection, Inc. for help selecting and deploying a new mobile platform. Learn More

The dangers of data breach make for great headlines: data held for ransom, financial fraud, medical identity theft. But despite the risks of a breach, the most immediate threat in most security incidents is failure to comply with regulatory requirements. More

Ponemon's recently published 2015 Study on Privacy & Data Security of Healthcare Data makes one point crystal clear: healthcare organizations must do more to protect sensitive patient information from the wide variety of data breach threats. More

As we envision the next generation of electronic tools, support for team-based care with handoff management and closed-loop communication among the stakeholders will be the most important new features. More